401 Cdc 401 Cdc

American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys

2011 401 CDC_New_Questionnaire_12_27_2010_FINAL3.xlsx

Previously Cleared ICs from prior Generic ICR

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

English Equiv Model Qsts
EnglishModel Qsts
Spanish Model Qsts
English Equiv Custom Qsts
English Custom Qsts
Spanish Custom Qsts


Sheet 1: English Equiv Model Qsts

Model Instance Name:




CDC (Jan 2011-present)



MID: Y9h8gZZ0ghx0VYtM1w8I8A==


Date: 1/1/2011

\
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







Content (1=Poor, 10=Excellent, Don't Know)
Satisfaction
Likelihood to Return (1=Very Unlikely, 10=Very Likely)

Please rate the accuracy of information on this site.
What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)

How likely are you to return to this site?

Please rate the quality of information on this site.
How well does this site meet your expectations?
(1=Falls Short, 10=Exceeds)

Recommend (1=Very Unlikely, 10=Very Likely)

Please rate the freshness of content on this site.
How does this site compare to your idea of an ideal website?
(1=Not Very Close, 10=Very Close)

How likely are you to recommend this site to someone else?

Functionality (1=Poor, 10=Excellent, Don't Know)


Future Participation (1=Very Unlikely, 10=Very Likely)

Please rate the usefulness of the features provided on this site.


How likely are you to express your thoughts or ideas to this agency in the next 90 days?

Please rate the convenience of the features on this site.


Trust (1=Not at all Trustworthy, 10=Very Trustworthy)

Please rate the variety of features on this site.


Please rate your level of trust in this agency.  

Look and Feel (1=Poor, 10=Excellent, Don't Know)




Please rate the visual appeal of this site.




Please rate the balance of graphics and text on this site.


Please rate the readability of the pages on this site.

Navigation (1=Poor, 10=Excellent, Don't Know)

Please rate how well the site is organized.

Please rate the options available for navigating this site.




Please rate how well the site layout helps you find what you are looking for.




Please rate the number of clicks to get where you want on this site.




Site Performance (1=Poor, 10=Excellent, Don't Know)




Please rate how quickly pages load on this site.




Please rate the consistency of speed from page to page on this site.




Please rate the ability to load pages without getting error messages on this site.




Search (1=Poor, 10=Excellent, Don't Know)




Please rate the relevance of search results on this site.




Please rate the organization of search results on this site.




Please rate how well the search results help you decide what to select.




Please rate how well the search feature helps you to narrow the results to find what you want.




Online Transparency (1=Poor, 10=Excellent, Don't Know)




Please rate how thoroughly this Web site discloses information about what this agency is doing.




Please rate how quickly agency information is made available on this Web site.




Please rate how well information about what this agency is doing can be accessed by the public on this Web site























Sheet 2: EnglishModel Qsts

Model Instance Name:




CDC (Jan 2011-present) - English



MID: 9U0B0ZRZoIdc1hE89hM0IA==


Date: 1/1/2011

\
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







Content (1=Poor, 10=Excellent, Don't Know)
Satisfaction
Likelihood to Return (1=Very Unlikely, 10=Very Likely)

Please rate the accuracy of information on this site.
What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)

How likely are you to return to this site?

Please rate the quality of information on this site.
How well does this site meet your expectations?
(1=Falls Short, 10=Exceeds)

Recommend (1=Very Unlikely, 10=Very Likely)

Please rate the freshness of content on this site.
How does this site compare to your idea of an ideal website?
(1=Not Very Close, 10=Very Close)

How likely are you to recommend this site to someone else?

Functionality (1=Poor, 10=Excellent, Don't Know)


Future Participation (1=Very Unlikely, 10=Very Likely)

Please rate the usefulness of the features provided on this site.


How likely are you to express your thoughts or ideas to this agency in the next 90 days?

Please rate the convenience of the features on this site.


Trust (1=Not at all Trustworthy, 10=Very Trustworthy)

Please rate the variety of features on this site.


Please rate your level of trust in this agency.  

Look and Feel (1=Poor, 10=Excellent, Don't Know)




Please rate the visual appeal of this site.




Please rate the balance of graphics and text on this site.


Please rate the readability of the pages on this site.

Navigation (1=Poor, 10=Excellent, Don't Know)

Please rate how well the site is organized.

Please rate the options available for navigating this site.




Please rate how well the site layout helps you find what you are looking for.




Please rate the number of clicks to get where you want on this site.




Site Performance (1=Poor, 10=Excellent, Don't Know)




Please rate how quickly pages load on this site.




Please rate the consistency of speed from page to page on this site.




Please rate the ability to load pages without getting error messages on this site.




Search (1=Poor, 10=Excellent, Don't Know)




Please rate the relevance of search results on this site.




Please rate the organization of search results on this site.




Please rate how well the search results help you decide what to select.




Please rate how well the search feature helps you to narrow the results to find what you want.




Online Transparency (1=Poor, 10=Excellent, Don't Know)




Please rate how thoroughly this Web site discloses information about what this agency is doing.




Please rate how quickly agency information is made available on this Web site.




Please rate how well information about what this agency is doing can be accessed by the public on this Web site























Sheet 3: Spanish Model Qsts

Model Instance Name:




CDC (Jan 2011-present) - Spanish



MID: QEtRNNchocpRY99oZMsNZQ==


Date: 1/1/2011

\
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTOS (determinantes de la satisfacción)
SATISFACCIÓN DEL CONSUMIDOR
COMPORTAMIENTOS FUTUROS







Contenido (1=Malo, 10=Excelente, No sabe)
Satisfacción
Probabilidad de que vuelva (1=Muy poco probable, 10=Muy probable)

Por favor evalúe la precisión de la información de este sitio.
¿Cuál es su nivel de satisfacción general con este sitio?
(1=Muy insatisfecho, 10=Muy satisfecho)

¿Qué tan probable es que vuelva a visitar este sitio?

Por favor evalúe la calidad de la información de este sitio.
¿En qué medida este sitio satisface sus expectativas?
(1=Por debajo, 10=Excede)

Recomendación a otros (1=Muy poco probable, 10=Muy probable)

Por favor evalúe la actualidad del contenido de este sitio.
¿Cómo se compara este sitio con su sitio web ideal?
(1=No muy cercano, 10=Muy cercano)

¿Qué tan probable es que recomiende este sitio a alguien?

Funcionalidad (1=Mala, 10=Excelente, No sabe)


Participación futura (1=Muy poco probable, 10=Muy probable)

Por favor evalúe la utilidad de las herramientas que provee este sitio.


¿Qué tan probable es que exprese sus ideas u opiniones a esta agencia en los próximos 90 días?

Por favor evalúe la conveniencia de las herramientas de este sitio.


Confianza (1=No es confiable para nada, 10=Muy confiable)

Por favor evalúe la variedad de las herramientas de este sitio.


Por favor califique su nivel de confianza en esta agencia.  

Aspecto y presentación (1=Malos, 10=Excelente, No sabe)




Por favor evalúe la apariencia visual de este sitio.




Por favor evalúe el balance entre gáficas y texto de este sitio.


Por favor evalúe cuán legibles son las páginas de este sitio.

Navegación (1=Mala, 10=Excelente, No sabe)

Por favor evalúe la organización de este sitio.

Por favor evalúe las opciones de navegación de este sitio.




Por favor evalúe cuánto le ayuda la distribución de este sitio a encontrar lo que está buscando.




Por favor evalúe el número de clicks que debe dar para poder encontar lo que desea en este sitio Web.




Funcionamiento del sitio (1=Malo, 10=Excelente, No sabe)




Por favor, evalúe cuán rápido descargan las páginas de este sitio Web.




Por favor, evalúe la consistencia de la velocidad entre página y página de este sitio Web.




Por favor, evalúe la habilidad de descargar páginas sin recibir un mensaje de error en este sitio Web.




Búsqueda (1=Mala, 10=Excelente, No sabe)




Por favor evalúe la relevancia de los resultados de búsqueda en este sitio Web.




Por favor evalúe la organización de los resultados de búsqueda en este sitio Web.




Por favor evalúe cuánto le ayudaron los resultados de búsqueda a decidir qué seleccionar.




Por favor evalúe cuánto le ayuda la herramienta de búsqueda a refinar los resultados a encontrar lo que desea.




Transparencia de la información en línea (1=Mala, 10=Excelente, No sabe)




Por favor califique en qué medida este sitio web informa en forma exhaustiva sobre las actividades que realiza esta agencia.




Por favor califique con qué rapidez puede acceder a la información sobre la agencia en este sitio web.




Por favor califique qué tan bien este sitio web le permite al público acceder a la información de lo que hace esta agencia.























Sheet 4: English Equiv Custom Qsts

Model Instance Name:

red & strike-through: DELETE





CDC (Jan 2011-present)

underlined & italicized: RE-ORDER





MID: Y9h8gZZ0ghx0VYtM1w8I8A==
pink: ADDITION





Date: 3/1/2008 blue + -->: REWORDING















CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID Skip Logic Label Question Text Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label
CWS06063
Which category best describes the health topic you were looking for? Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group Health Topic



Healthy Living (food safety, bone health, physical activity, immunizations, genetics, smoking prevention…) B







Traveler Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







Injury, Violence & Safety (brain injury, child abuse, falls, fires, poisoning, suicide, youth violence…) E







Environmental Health (air pollution, carbon monoxide, lead, mold, water quality, climate change…) F







Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







Life Stages & Populations (infant & child, men, minorities, pregnancy, seniors, women...) H







Global Health (Global Health Initiative, global disease detection, Field Epidemiologist Training Program, parasites, global HIV/AIDS, international emergency and refugee health, Haiti…) I







State, Tribal, Local or Territorial Support (funding and grants, cooperative agreements, strategy and planning, policy, training, best practices …) J







Other, please specify: K




CWS06064 K Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Health Topic
CWS06065 A More specifically, what topic were you looking for? ADHD
Radio button, one-up vertical Single N Skip Logic Group DiseaseCond



Arthritis








Asthma








Autism








Birth defects








Cancer








Diabetes








Epilepsy








Fetal alcohol syndrome








Flu (influenza)








Heart disease








Hepatitis








HIV/AIDS








Meningitis








MRSA (Methicillin Resistant Staphylococcus Aureus)








Obesity








Salmonella








Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)








Stroke








Tuberculosis








Water-related diseases








Other, please specify: L




CWS06066 L Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth diseascond
CWS06067 B More specifically, what topic were you looking for? Aging
Radio button, one-up vertical Single N
Healthy Living



Birth defects








BMI (Body Mass Index)








Bone health








Breastfeeding








Child development








Excessive alcohol use








Food safety








Genetics and genomics








Mental health








Nutrition








Physical activity and exercise








Reproductive health








Sexual health








Sleep and sleep disorders








Smoking and tobacco use








Vaccines and immunizations








Other, please specify: M




CWS06068 M Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group
CWS06069 C More specifically, what topic were you looking for? 2010 Yellow Book
Radio button, one-up vertical Single N Skip Logic Group Travelers Health



Destinations








Diseases related to travel (including malaria and yellow fever)








Illness & injury abroad (what to do if you become sick while traveling)








Preparing for your trip








Staying healthy & safe (insect protection, safe food & water, survival guide)








Vaccinations








Other, please specify: N




CWS06070 N Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Travelers
CWS06071 D More specifically, what topic were you looking for? Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single N Skip Logic Group Emerg Prepare



Chemical emergencies (ricin, chlorine, nerve agents)








Coping with a disaster








Mass casualties (explosions, blasts, injuries)








Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








Preparation & planning for hazards








Radiation emergencies (dirty bombs, nuclear blasts)








Recent outbreaks & incidents (salmonella, melamine)








Surveillance








Other, please specify: O




CWS06072 O Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Emerg
CWS06073 E More specifically, what topic were you looking for? Acute care (injury response)
Radio button, one-up vertical Single N
Injury



Adolescent injuries








Child abuse / maltreatment








Choking








Concussion / brain injuries








Dog bites








Drowning








Elder maltreatment








Explosion and blast injuries








Falls among older adults








Fire-related injuries








Fireworks








Intimate partner violence








Mass casualties








Motor vehicle injuries








Poisoning








Preventing injury & violence








Sexual violence








Suicide








Violence








Other, please specify: P




CWS06074 P Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Injury
CWS06075 F More specifically, what topic were you looking for? Air quality
Radio button, one-up vertical Single N
Enviro



Asbestos








Asthma








Biomonitoring








Carbon monoxide poisoning








Childhood lead poisoning prevention








Climate change








Cruise ship health








Extreme weather conditions








Mold








Natural disasters








Protect yourself from the sun








Radiation studies








Rodent control








Smoking and tobacco use








Water








Other, please specify: Q




CWS06076 Q Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Enviro
CWS06077 G More specifically, what topic were you looking for? Asbestos
Radio button, one-up vertical Single N Skip Logic Group Workplace



Carpal tunnel syndrome








Chemical safety








Construction








Electrical safety








Emergency responders








Ergonomics








Eye safety








Hearing loss








Heat stress








Laboratory safety








Lead








Machine safety








Mining








Motor vehicle safety








Noise








Office environments








Protective clothing








Respirators








Stress








Violence








Workplace safety & prevention








Other, please specify: R




CWS06078 R Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Workplace
CWS06079 H More specifically, what topic were you looking for? Adolescents & teens
Radio button, one-up vertical Single N
Life



Children








Family








Infants & toddlers








Men








Older adults & seniors








Parents








Pregnancy








Women








Young adults








Other, please specify: H




CWS06080 S Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Life
CWS06081 I More specifically, what topic were you looking for? Field Epidemiologist Training Program
Radio button, one-up vertical Single N
Global



Global disease detection








Global health initiatives








Global HIV/AIDS








Global immunizations








Haiti








International emergency and refugee health








Parasites








Other, please specify: T




CWS06082 T Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Global
CWS06083 J More specifically, what topic were you looking for? Best practices
Radio button, one-up vertical Single N Skip Logic Group State Tribal



Cooperative agreements








Funding and grants








Policy








Strategy and planning








Training








Other, please specify: U




CWS06084 U Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth State Tribal
CWS06085
Which of the following best describes the type of information you were looking for? General information about the health topic selected
Radio button, one-up vertical Single
OPS Group Type of Info



General information about symptoms, causes, risk factors, tests, or treatment








Data and statistics








Scientific research, articles, publications, and journals








Guidelines and recommendations for healthcare providers








Professional training for healthcare providers, researchers, public health professionals, etc.








Educational materials








Campaigns and initiatives








Grants and funding opportunities








Tools, software applications, systems, and other resources








Print materials (fact sheets, brochures, posters, etc.)








Multimedia products (podcasts, videos, widgets, etc.)








Jobs and careers








Other, please specify: A




CWS06086 A Please list the other type of information you were looking for:

Text area, no char limit

OPS Group Other Info
CWS06087
Were you able to find what you were looking for? Yes
Radio button, one-up vertical

Skip Logic Group Find Info



Partially A







No, I'm still looking A




CWS06088 A What were you looking for?

Text area, no char limit

Skip Logic Group Unable to Find
CWS06089
Who will use the information you are looking for today? I will use it myself. A Radio button, one-up vertical Single Y Skip Logic Group Info Usage



I’m looking for a friend or family member.








I’m looking for a patient or client.








I’m looking for a public health agency.








Other, please specify: B




CWS06090 B Who will use the information:

Text area, no char limit

Skip Logic Group Info Usage Other
CWS06091 A Based on the information you found, how likely are you to make changes to your lifestyle to improve your health? Very Unlikely C Radio button, one-up vertical Single N Skip Logic Group Change



Unlikely C







Likely E







Very Likely E




CWS06092 C Why are you unlikely to make a change to improve your health? I need more information (need to do more research).
Radio button, one-up vertical Single N Skip Logic Group Unlikely Change



I’m not ready to make a change yet.








I’m already following the recommendations / living a healthy lifestyle.








Other, please specify: D




CWS06093 D Why are you unlikely to make a change:

Text area, no char limit

Skip Logic Group Open Unlikely Change
CWS06094 E What change are you planning to make?

Text area, no char limit

Skip Logic Group Open Change
CWS06095
In the last year, which of the following activities have you done?  [Please select all that apply]: Listened to audio or podcasts on CDC.gov
Checkbox, one-up vertical Multi Y
SM CDC Activities



Watched a video on CDC.gov or CDC’s YouTube Page








Visited or “liked” CDC’s Facebook page 








Followed one of CDC’s Twitter profiles








Signed up for email updates on CDC.gov








Sent a CDC eCard to someone








Used CDC’s mobile Web site (m.cdc.gov) or a CDC mobile application (“app”)








Subscribed to CDC’s text messaging program








Read one of the blogs on CDC.gov








Used one of CDC’s widgets








Used CDC’s Public Health Image Library (PHIL)








Downloaded one of CDC’s buttons or badges








Participated in a contest or challenge CDC is sponsoring








None of the above 





CWS06096
In the last three months, which of the following general activities have you done online?  [Please select all that apply]: Participated in online social networks (Facebook, MySpace, etc.) 
Checkbox, one-up vertical Multi Y
SM Activities



Used micro-blogging sites (Twitter, Tumblr, Jaiku, etc.)








Browsed through online photo galleries 








Watched videos on a Web site 








Uploaded videos to a Web site (YouTube) 








Listened to podcasts or audio on a Web site 








Signed up to receive email updates from a Web site 








Subscribed to RSS feeds








Used personalized Web pages (My Yahoo!, iGoogle, etc.) 








Added a widget, button, or badge to your personalized Web page 








Read blogs or Wikis 








Wrote a blog or contributed to Wikis 








Posted comments, ratings, or reviews on a Web site 








Sent an eCard to someone








Bookmarked or tagged Web sites (using social bookmarking sites as Digg) 








Participated in virtual worlds (Second Life, Whyville, etc.)   








None of the above 





CWS06097
In the last three months, which of the following activities have you done using your mobile phone or device?  [Please select all that apply]: Sent or received text messages
Checkbox, one-up vertical Multi Y
SM Mobile Activities



Browsed Web sites








Sent or received email








Downloaded an application (“app”)








Watched videos








Recorded videos








Took pictures








Played a game








Listened to music








None of the above





CWS06098
How frequently do you use the CDC.gov Web site? Daily
Radio button, one-up vertical Single Y
Frequency



Weekly








Monthly








A couple times a year








About once a year








This is my first time





CWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? Individual interested in health
Radio button, one-up vertical Single Y Skip Logic Group Role



Traveler








Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







Public health agency employee or public health professional D, E







Scientist or researcher








Educator or teacher








Student








Safety advisor








Business manager








Journalist or member of the media








Emergency responder








Law enforcement








Policymaker, legislator, or staff








Grantee








CDC Employee, staff, or contractor








Other, please specify: A




CWS06100 A Please list the other reason you are on the site:

Text area, no char limit
N Skip Logic Group Provider role
CWS06101 B Which of the following best describes you? Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single N




Physician, primarily conducting research projects








Nurse or nurse practitioner








Physician’s assistant








Pharmacist or pharmaceutical assistant








Other type of healthcare provider, please specify: F




CWS06102 G Please list your role:

Text area, no char limit
N Skip Logic Group Other Provider
CWS06103 C Which of the following best describes where you work? Hospital
Radio button, one-up vertical Single

Provider Location



Large medical practice








Small medical practice








Not-for-profit








Research institution








Other, please specify: G




CWS06104 G Please list where you work:

Text area, no char limit
N Skip Logic Group Other Prov Location
CWS06105 D Which of the following best describes you? Public health advocate
Radio button, one-up vertical Single





Health educator








Health communicator








Management








Research scientist








Administrative staff








Other, please specify: H




CWS06106 H Please list your role:

Text area, no char limit
N Skip Logic Group Other Public
CWS06107 E Which of the following best describes where you work? Public or commercial sector
Radio button, one-up vertical Single N




Not-for-profit








Federal public health agency








State public health agency








Local public health agency








Territorial public health agency








Tribal public health agency








Other, please specify: I




CWS06108 I Please list where you work:

Text area, no char limit
N Skip Logic Group Other Pub Location
CWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page








A blog or discussion forum



Adjust Template/Style Sheet



Advertisement on Facebook, MySpace, or Twitter



Randomize



Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06110
Rank 2 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06111
Rank 3 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
CWS06113
How old are you? 19 or under
Radio button, one-up vertical Single N
Age



20-34 years old








35-49 years old








50-64 years old








65 or older








Prefer not to answer





CWS06114
How would you describe yourself? White
Checkbox, one-up vertical Multi N
Ethnicity



Hispanic or Latino








Asian








Black or African American








American Indian or Alaska Native








Native Hawaiian or other Pacific Islander








Prefer not to answer





CWS06115
What is the highest level of education you have completed? High school or less
Radio button, one-up vertical Single N
Education



Some college








College degree








Advanced degree








Prefer not to answer





CWS06116
What is your gender? Female
Radio button, one-up vertical Single N
Gender



Male








Prefer not to answer















CWS06117
What is your country of residence? USA




Country



Afghanistan








Albania








Algeria








American Samoa








Andorra








Angola








Anguilla








Antarctica








Antigua and Barbuda








Argentina








Armenia








Aruba








Australia








Austria








Azerbaijan








Bahamas








Bahrain








Bangladesh








Barbados








Belarus








Belgium








Belize








Benin








Bermuda








Bhutan








Bolivia








Bosnia/Herzegovina








Botswana








Bouvet Island








Brazil








British Indian Ocean








Brunei Darussalam








Bulgaria








Burkina Faso








Burundi








Cambodia








Cameroon








Canada








Cape Verde








Cayman Islands








Central African Rep.








Chad








Chile








China








Christmas Island








Cocos Islands








Colombia








Comoros








Congo








Congo, Democratic Rep.








Cook Islands








Costa Rica








Côte D'Ivoire








Croatia








Cuba








Cyprus








Czech Republic








Denmark








Djibouti








Dominica








Dominican Republic








East Timor








Ecuador








Egypt








El Salvador








Equatorial Guinea








Eritrea








Estonia








Ethiopia








Falkland Islands








Faroe Islands








Fiji








Finland








France








French Guiana








French Polynesia








French Southern Terr.








Gabon








Gambia








Georgia








Germany








Ghana








Gibraltar








Greece








Greenland








Grenada








Guadeloupe








Guam








Guatemala








Guinea








Guinea& Bissau








Guyana








Haiti








Heard/McDonald Isls.








Holy See/Vatican








Honduras








Hong Kong








Hungary








Iceland








India








Indonesia








Iran








Iraq








Ireland








Israel








Italy








Jamaica








Japan








Jordan








Kazakhstan








Kenya








Kiribati








Korea, North








Korea, South








Kuwait








Kyrgyzstan








Laos








Latvia








Lebanon








Lesotho








Liberia








Libya








Liechtenstein








Lithuania








Luxembourg








Macao








Macedonia








Madagascar








Malawi








Malaysia








Maldives








Mali








Malta








Marshall Islands








Martinique








Mauritania








Mauritius








Mayotte








Mexico








Micronesia








Moldova








Monaco








Mongolia








Montserrat








Morocco








Mozambique








Myanmar








Namibia








Nauru








Nepal








Netherlands








Netherlands Antilles








New Caledonia








New Zealand








Nicaragua








Niger








Nigeria








Niue








Norfolk Island








Northern Mariana Isls








Norway








Oman








Pakistan








Palau








Palestinian Territory








Panama








Papua New Guinea








Paraguay








Peru








Philippines








Pitcairn








Poland








Portugal








Puerto Rico








Qatar








Réunion








Romania








Russian Federation








Rwanda








Saint Helena








Saint Kitts/Nevis








Saint Lucia








Saint Pierre/Miquelon








Saint Vincent/Grenadines








Samoa








San Marino








Sao Tome/Principe








Saudi Arabia








Senegal








Seychelles








Sierra Leone








Singapore








Slovakia








Slovenia








Solomon Islands








Somalia








South Africa








S. Georgia/S. Sand. Isls








Spain








Sri Lanka








Sudan








Suriname








Svalbard/Jan Mayen








Swaziland








Sweden








Switzerland








Syria








Taiwan








Tajikistan








Tanzania








Thailand








Togo








Tokelau








Tonga








Trinidad and Tobago








Tunisia








Turkey








Turkmenistan








Turks and Caicos Isls








Tuvalu








Uganda








Ukraine








United Arab Emirates








United Kingdom








US Minor Outlying Isls








Uruguay








Uzbekistan








Vanuatu








Venezuela








Viet Nam








Virgin Islands, British








Virgin Islands, U.S.








Wallis and Futuna








Western Sahara








Yemen








Yugoslavia








Zambia








Zimbabwe





CWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?

Text area, no char limit
N
One Improvement

Sheet 5: English Custom Qsts

Model Instance Name:

red & strike-through: DELETE





CDC (Jan 2011-present) - English

underlined & italicized: RE-ORDER





MID: 9U0B0ZRZoIdc1hE89hM0IA==
pink: ADDITION





Date: 3/1/2008 blue + -->: REWORDING















CDC (Jan 2011-present) - English CUSTOM QUESTION LIST
QID Skip Logic Label Question Text Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label
ENCWS06063
Which category best describes the health topic you were looking for? Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group Health Topic



Healthy Living (food safety, bone health, physical activity, immunizations, genetics, smoking prevention…) B







Traveler Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







Injury, Violence & Safety (brain injury, child abuse, falls, fires, poisoning, suicide, youth violence…) E







Environmental Health (air pollution, carbon monoxide, lead, mold, water quality, climate change…) F







Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







Life Stages & Populations (infant & child, men, minorities, pregnancy, seniors, women...) H







Global Health (Global Health Initiative, global disease detection, Field Epidemiologist Training Program, parasites, global HIV/AIDS, international emergency and refugee health, Haiti…) I







State, Tribal, Local or Territorial Support (funding and grants, cooperative agreements, strategy and planning, policy, training, best practices …) J







Other, please specify: K




ENCWS06064 K Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Health Topic
ENCWS06065 A More specifically, what topic were you looking for? ADHD
Radio button, one-up vertical Single N Skip Logic Group DiseaseCond



Arthritis








Asthma








Autism








Birth defects








Cancer








Diabetes








Epilepsy








Fetal alcohol syndrome








Flu (influenza)








Heart disease








Hepatitis








HIV/AIDS








Meningitis








MRSA (Methicillin Resistant Staphylococcus Aureus)








Obesity








Salmonella








Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)








Stroke








Tuberculosis








Water-related diseases








Other, please specify: L




ENCWS06066 L Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth diseascond
ENCWS06067 B More specifically, what topic were you looking for? Aging
Radio button, one-up vertical Single N
Healthy Living



Birth defects








BMI (Body Mass Index)








Bone health








Breastfeeding








Child development








Excessive alcohol use








Food safety








Genetics and genomics








Mental health








Nutrition








Physical activity and exercise








Reproductive health








Sexual health








Sleep and sleep disorders








Smoking and tobacco use








Vaccines and immunizations








Other, please specify: M




ENCWS06068 M Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group
ENCWS06069 C More specifically, what topic were you looking for? 2010 Yellow Book
Radio button, one-up vertical Single N Skip Logic Group Travelers Health



Destinations








Diseases related to travel (including malaria and yellow fever)








Illness & injury abroad (what to do if you become sick while traveling)








Preparing for your trip








Staying healthy & safe (insect protection, safe food & water, survival guide)








Vaccinations








Other, please specify: N




ENCWS06070 N Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Travelers
ENCWS06071 D More specifically, what topic were you looking for? Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single N Skip Logic Group Emerg Prepare



Chemical emergencies (ricin, chlorine, nerve agents)








Coping with a disaster








Mass casualties (explosions, blasts, injuries)








Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








Preparation & planning for hazards








Radiation emergencies (dirty bombs, nuclear blasts)








Recent outbreaks & incidents (salmonella, melamine)








Surveillance








Other, please specify: O




ENCWS06072 O Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Emerg
ENCWS06073 E More specifically, what topic were you looking for? Acute care (injury response)
Radio button, one-up vertical Single N
Injury



Adolescent injuries








Child abuse / maltreatment








Choking








Concussion / brain injuries








Dog bites








Drowning








Elder maltreatment








Explosion and blast injuries








Falls among older adults








Fire-related injuries








Fireworks








Intimate partner violence








Mass casualties








Motor vehicle injuries








Poisoning








Preventing injury & violence








Sexual violence








Suicide








Violence








Other, please specify: P




ENCWS06074 P Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Injury
ENCWS06075 F More specifically, what topic were you looking for? Air quality
Radio button, one-up vertical Single N
Enviro



Asbestos








Asthma








Biomonitoring








Carbon monoxide poisoning








Childhood lead poisoning prevention








Climate change








Cruise ship health








Extreme weather conditions








Mold








Natural disasters








Protect yourself from the sun








Radiation studies








Rodent control








Smoking and tobacco use








Water








Other, please specify: Q




ENCWS06076 Q Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Enviro
ENCWS06077 G More specifically, what topic were you looking for? Asbestos
Radio button, one-up vertical Single N Skip Logic Group Workplace



Carpal tunnel syndrome








Chemical safety








Construction








Electrical safety








Emergency responders








Ergonomics








Eye safety








Hearing loss








Heat stress








Laboratory safety








Lead








Machine safety








Mining








Motor vehicle safety








Noise








Office environments








Protective clothing








Respirators








Stress








Violence








Workplace safety & prevention








Other, please specify: R




ENCWS06078 R Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Workplace
ENCWS06079 H More specifically, what topic were you looking for? Adolescents & teens
Radio button, one-up vertical Single N
Life



Children








Family








Infants & toddlers








Men








Older adults & seniors








Parents








Pregnancy








Women








Young adults








Other, please specify: H




ENCWS06080 S Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Life
ENCWS06081 I More specifically, what topic were you looking for? Field Epidemiologist Training Program
Radio button, one-up vertical Single N
Global



Global disease detection








Global health initiatives








Global HIV/AIDS








Global immunizations








Haiti








International emergency and refugee health








Parasites








Other, please specify: T




ENCWS06082 T Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Global
ENCWS06083 J More specifically, what topic were you looking for? Best practices
Radio button, one-up vertical Single N Skip Logic Group State Tribal



Cooperative agreements








Funding and grants








Policy








Strategy and planning








Training








Other, please specify: U




ENCWS06084 U Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth State Tribal
ENCWS06085
Which of the following best describes the type of information you were looking for? General information about the health topic selected
Radio button, one-up vertical Single
OPS Group Type of Info



General information about symptoms, causes, risk factors, tests, or treatment








Data and statistics








Scientific research, articles, publications, and journals








Guidelines and recommendations for healthcare providers








Professional training for healthcare providers, researchers, public health professionals, etc.








Educational materials








Campaigns and initiatives








Grants and funding opportunities








Tools, software applications, systems, and other resources








Print materials (fact sheets, brochures, posters, etc.)








Multimedia products (podcasts, videos, widgets, etc.)








Jobs and careers








Other, please specify: A




ENCWS06086 A Please list the other type of information you were looking for:

Text area, no char limit

OPS Group Other Info
ENCWS06087
Were you able to find what you were looking for? Yes
Radio button, one-up vertical

Skip Logic Group Find Info



Partially A







No, I'm still looking A




ENCWS06088 A What were you looking for?

Text area, no char limit

Skip Logic Group Unable to Find
ENCWS06089
Who will use the information you are looking for today? I will use it myself. A Radio button, one-up vertical Single Y Skip Logic Group Info Usage



I’m looking for a friend or family member.








I’m looking for a patient or client.








I’m looking for a public health agency.








Other, please specify: B




ENCWS06090 B Who will use the information:

Text area, no char limit

Skip Logic Group Info Usage Other
ENCWS06091 A Based on the information you found, how likely are you to make changes to your lifestyle to improve your health? Very Unlikely C Radio button, one-up vertical Single N Skip Logic Group Change



Unlikely C







Likely E







Very Likely E




ENCWS06092 C Why are you unlikely to make a change to improve your health? I need more information (need to do more research).
Radio button, one-up vertical Single N Skip Logic Group Unlikely Change



I’m not ready to make a change yet.








I’m already following the recommendations / living a healthy lifestyle.








Other, please specify: D




ENCWS06093 D Why are you unlikely to make a change:

Text area, no char limit

Skip Logic Group Open Unlikely Change
ENCWS06094 E What change are you planning to make?

Text area, no char limit

Skip Logic Group Open Change
ENCWS06095
In the last year, which of the following activities have you done?  [Please select all that apply]: Listened to audio or podcasts on CDC.gov
Checkbox, one-up vertical Multi Y
SM CDC Activities



Watched a video on CDC.gov or CDC’s YouTube Page








Visited or “liked” CDC’s Facebook page 








Followed one of CDC’s Twitter profiles








Signed up for email updates on CDC.gov








Sent a CDC eCard to someone








Used CDC’s mobile Web site (m.cdc.gov) or a CDC mobile application (“app”)








Subscribed to CDC’s text messaging program








Read one of the blogs on CDC.gov








Used one of CDC’s widgets








Used CDC’s Public Health Image Library (PHIL)








Downloaded one of CDC’s buttons or badges








Participated in a contest or challenge CDC is sponsoring








None of the above 





ENCWS06096
In the last three months, which of the following general activities have you done online?  [Please select all that apply]: Participated in online social networks (Facebook, MySpace, etc.) 
Checkbox, one-up vertical Multi Y
SM Activities



Used micro-blogging sites (Twitter, Tumblr, Jaiku, etc.)








Browsed through online photo galleries 








Watched videos on a Web site 








Uploaded videos to a Web site (YouTube) 








Listened to podcasts or audio on a Web site 








Signed up to receive email updates from a Web site 








Subscribed to RSS feeds








Used personalized Web pages (My Yahoo!, iGoogle, etc.) 








Added a widget, button, or badge to your personalized Web page 








Read blogs or Wikis 








Wrote a blog or contributed to Wikis 








Posted comments, ratings, or reviews on a Web site 








Sent an eCard to someone








Bookmarked or tagged Web sites (using social bookmarking sites as Digg) 








Participated in virtual worlds (Second Life, Whyville, etc.)   








None of the above 





ENCWS06097
In the last three months, which of the following activities have you done using your mobile phone or device?  [Please select all that apply]: Sent or received text messages
Checkbox, one-up vertical Multi Y
SM Mobile Activities



Browsed Web sites








Sent or received email








Downloaded an application (“app”)








Watched videos








Recorded videos








Took pictures








Played a game








Listened to music








None of the above





ENCWS06098
How frequently do you use the CDC.gov Web site? Daily
Radio button, one-up vertical Single Y
Frequency



Weekly








Monthly








A couple times a year








About once a year








This is my first time





ENCWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? Individual interested in health
Radio button, one-up vertical Single Y Skip Logic Group Role



Traveler








Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







Public health agency employee or public health professional D, E







Scientist or researcher








Educator or teacher








Student








Safety advisor








Business manager








Journalist or member of the media








Emergency responder








Law enforcement








Policymaker, legislator, or staff








Grantee








CDC Employee, staff, or contractor








Other, please specify: A




ENCWS06100 A Please list the other reason you are on the site:

Text area, no char limit
N Skip Logic Group Provider role
ENCWS06101 B Which of the following best describes you? Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single N




Physician, primarily conducting research projects








Nurse or nurse practitioner








Physician’s assistant








Pharmacist or pharmaceutical assistant








Other type of healthcare provider, please specify: F




ENCWS06102 G Please list your role:

Text area, no char limit
N Skip Logic Group Other Provider
ENCWS06103 C Which of the following best describes where you work? Hospital
Radio button, one-up vertical Single

Provider Location



Large medical practice








Small medical practice








Not-for-profit








Research institution








Other, please specify: G




ENCWS06104 G Please list where you work:

Text area, no char limit
N Skip Logic Group Other Prov Location
ENCWS06105 D Which of the following best describes you? Public health advocate
Radio button, one-up vertical Single





Health educator








Health communicator








Management








Research scientist








Administrative staff








Other, please specify: H




ENCWS06106 H Please list your role:

Text area, no char limit
N Skip Logic Group Other Public
ENCWS06107 E Which of the following best describes where you work? Public or commercial sector
Radio button, one-up vertical Single N




Not-for-profit








Federal public health agency








State public health agency








Local public health agency








Territorial public health agency








Tribal public health agency








Other, please specify: I




ENCWS06108 I Please list where you work:

Text area, no char limit
N Skip Logic Group Other Pub Location
ENCWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page








A blog or discussion forum



Adjust Template/Style Sheet



Advertisement on Facebook, MySpace, or Twitter



Randomize



Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
ENCWS06110
Rank 2 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
ENCWS06111
Rank 3 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
ENCWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
ENCWS06113
How old are you? 19 or under
Radio button, one-up vertical Single N
Age



20-34 years old








35-49 years old








50-64 years old








65 or older








Prefer not to answer





ENCWS06114
How would you describe yourself? White
Checkbox, one-up vertical Multi N
Ethnicity



Hispanic or Latino








Asian








Black or African American








American Indian or Alaska Native








Native Hawaiian or other Pacific Islander








Prefer not to answer





ENCWS06115
What is the highest level of education you have completed? High school or less
Radio button, one-up vertical Single N
Education



Some college








College degree








Advanced degree








Prefer not to answer





ENCWS06116
What is your gender? Female
Radio button, one-up vertical Single N
Gender



Male








Prefer not to answer















ENCWS06117
What is your country of residence? USA




Country



Afghanistan








Albania








Algeria








American Samoa








Andorra








Angola








Anguilla








Antarctica








Antigua and Barbuda








Argentina








Armenia








Aruba








Australia








Austria








Azerbaijan








Bahamas








Bahrain








Bangladesh








Barbados








Belarus








Belgium








Belize








Benin








Bermuda








Bhutan








Bolivia








Bosnia/Herzegovina








Botswana








Bouvet Island








Brazil








British Indian Ocean








Brunei Darussalam








Bulgaria








Burkina Faso








Burundi








Cambodia








Cameroon








Canada








Cape Verde








Cayman Islands








Central African Rep.








Chad








Chile








China








Christmas Island








Cocos Islands








Colombia








Comoros








Congo








Congo, Democratic Rep.








Cook Islands








Costa Rica








Côte D'Ivoire








Croatia








Cuba








Cyprus








Czech Republic








Denmark








Djibouti








Dominica








Dominican Republic








East Timor








Ecuador








Egypt








El Salvador








Equatorial Guinea








Eritrea








Estonia








Ethiopia








Falkland Islands








Faroe Islands








Fiji








Finland








France








French Guiana








French Polynesia








French Southern Terr.








Gabon








Gambia








Georgia








Germany








Ghana








Gibraltar








Greece








Greenland








Grenada








Guadeloupe








Guam








Guatemala








Guinea








Guinea& Bissau








Guyana








Haiti








Heard/McDonald Isls.








Holy See/Vatican








Honduras








Hong Kong








Hungary








Iceland








India








Indonesia








Iran








Iraq








Ireland








Israel








Italy








Jamaica








Japan








Jordan








Kazakhstan








Kenya








Kiribati








Korea, North








Korea, South








Kuwait








Kyrgyzstan








Laos








Latvia








Lebanon








Lesotho








Liberia








Libya








Liechtenstein








Lithuania








Luxembourg








Macao








Macedonia








Madagascar








Malawi








Malaysia








Maldives








Mali








Malta








Marshall Islands








Martinique








Mauritania








Mauritius








Mayotte








Mexico








Micronesia








Moldova








Monaco








Mongolia








Montserrat








Morocco








Mozambique








Myanmar








Namibia








Nauru








Nepal








Netherlands








Netherlands Antilles








New Caledonia








New Zealand








Nicaragua








Niger








Nigeria








Niue








Norfolk Island








Northern Mariana Isls








Norway








Oman








Pakistan








Palau








Palestinian Territory








Panama








Papua New Guinea








Paraguay








Peru








Philippines








Pitcairn








Poland








Portugal








Puerto Rico








Qatar








Réunion








Romania








Russian Federation








Rwanda








Saint Helena








Saint Kitts/Nevis








Saint Lucia








Saint Pierre/Miquelon








Saint Vincent/Grenadines








Samoa








San Marino








Sao Tome/Principe








Saudi Arabia








Senegal








Seychelles








Sierra Leone








Singapore








Slovakia








Slovenia








Solomon Islands








Somalia








South Africa








S. Georgia/S. Sand. Isls








Spain








Sri Lanka








Sudan








Suriname








Svalbard/Jan Mayen








Swaziland








Sweden








Switzerland








Syria








Taiwan








Tajikistan








Tanzania








Thailand








Togo








Tokelau








Tonga








Trinidad and Tobago








Tunisia








Turkey








Turkmenistan








Turks and Caicos Isls








Tuvalu








Uganda








Ukraine








United Arab Emirates








United Kingdom








US Minor Outlying Isls








Uruguay








Uzbekistan








Vanuatu








Venezuela








Viet Nam








Virgin Islands, British








Virgin Islands, U.S.








Wallis and Futuna








Western Sahara








Yemen








Yugoslavia








Zambia








Zimbabwe





ENCWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?

Text area, no char limit
N
One Improvement

Sheet 6: Spanish Custom Qsts

Model Instance Name:

red & strike-through: DELETE






CDC (Jan 2011-present) - Spanish

underlined & italicized: RE-ORDER






MID: QEtRNNchocpRY99oZMsNZQ==
pink: ADDITION






Date: 3/1/2008 blue + -->: REWORDING

















CDC (Jan 2011-present) - Spanish CUSTOM QUESTION LIST
QID Skip Logic Label Question Text Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label
SPCWS06063
¿Qué categoría describe mejor el tema de salud que está buscando? Enfermedades y afecciones (TDAH, defectos de nacimiento, cáncer, diabetes, síndrome alcohólico fetal, influenza o gripe, VIH/sida, ETS...) A Radio button, one-up vertical Single Y Skip Logic Group Health Topic



Vida saludable (seguridad de los alimentos, salud de los huesos, actividad física, vacunas, genética, prevención del tabaquismo...) B








Salud del viajero (destinos, brotes, vacunas para viajeros, el libro Amarillo o Yellow Book…) C








Preparación y respuesta para casos de emergencias (bioterrorismo, emergencias por sustancias químicas y radiación, mal tiempo…) D








Lesiones, violencia y seguridad (lesiones cerebrales, abuso infantil, caídas, incendios, envenenamientos e intoxicaciones, suicidio, violencia juvenil...) E








Salud ambiental (contaminación del aire, monóxido de carbono, plomo, moho, calidad del agua, cambio climático…) F








Salud ocupacional (asbesto, seguridad de sustancias químicas, construcción, minería, entornos de oficinas, respiradores…) G








Etapas de la vida y poblaciones (bebés y niños, hombres, minorías, embarazos, ancianos, mujeres...) H








Salud global (Iniciativa de salud global, detección de enfermedades globales, Programa de Capacitación de Epidemiólogos de Campo, parásitos, VIH/sida en el mundo, Programa internacional de emergencia y salud de los refugiados, Haití…) I








Apoyo a nivel estatal, tribal, local o territorial (financiamiento y subvenciones, acuerdos de cooperación, estrategia y planificación, políticas, capacitación, mejores prácticas…) J








Otro, por favor especifique: K





SPCWS06064 K Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Health Topic
SPCWS06065 A ¿Qué tema buscaba en específico? TDAH
Radio button, one-up vertical Single N Skip Logic Group DiseaseCond



Artritis









Asma









Autismo









Defectos de nacimiento o congénitos









Cáncer









Diabetes









Epilepsia









Síndrome alcohólico fetal









Influenza (gripe)









Enfermedades cardiacas









Hepatitis









VIH/Sida









Meningitis









SARM (Staphylococcus Aureus resistente a la meticilina)









Obesidad









Salmonella









Enfermedades transmitidas sexualmente (VPH, clamidia, gonorrea, etc.)









Accidentes cerebrovasculares









Tuberculosis









Enfermedades relacionadas con el agua









Otro, por favor especifique: L





SPCWS06066 L Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth diseascond
SPCWS06067 B ¿Qué tema buscaba en específico? Envejecimiento
Radio button, one-up vertical Single N
Healthy Living



Defectos de nacimiento o congénitos









IMC (Índice de masa corporal)









Salud de los huesos









Lactancia materna









Desarrollo infantil









Consumo excesivo del alcohol









Higiene de los alimentos









Genética y genómica









Salud mental









Nutrición









Actividad física y ejercicio









Salud reproductiva









Salud sexual









Sueño y trastornos del sueño









Tabaquismo









Vacunas e inmunización









Otro, por favor especifique: M





SPCWS06068 M Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group

SPCWS06069 C ¿Qué tema buscaba en específico? Guía amarilla del viajero o Yellow Book del 2010
Radio button, one-up vertical Single N Skip Logic Group Travelers Health



Destinos









Enfermedades relacionadas con los viajes (como paludismo o malaria y fiebre amarilla)









Enfermedades y lesiones en el extranjero (qué hacer si se enferma durante su viaje)









Preparación para un viaje









Cómo mantenerse seguro y saludable (protección contra insectos, agua y alimentos seguros y guía de supervivencia)









Vacunas









Otro, por favor especifique: N





SPCWS06070 N Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Travelers
SPCWS06071 D ¿Qué tema buscaba en específico? Bioterrorismo (carbunco o anthrax, peste, viruela)
Radio button, one-up vertical Single N Skip Logic Group Emerg Prepare



Emergencias con sustancias químicas (ricina, cloro, agentes nerviosos)









Cómo hacerle frente a un desastre









Víctimas masivas (explosiones, ondas expansivas, lesiones)









Desastres naturales y mal tiempo (terremotos, huracanes, volcanes, ola invernal)









Preparación y planificación de riesgos









Emergencias por radiación ("bombas sucias", explosiones nucleares)









Brotes e incidentes recientes (salmonella, melamina)









Vigilancia epidemiológica









Otro, por favor especifique: O





SPCWS06072 O Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Emerg
SPCWS06073 E ¿Qué tema buscaba en específico? Cuidados agudos (respuesta a lesiones)
Radio button, one-up vertical Single N
Injury



Lesiones en adolescentes









Abuso o maltrato infantil









Asfixia









Conmociones o lesiones cerebrales









Mordeduras de perro









Ahogamientos









Maltrato de ancianos









Lesiones por explosiones y onda expansiva









Caídas en adultos de edad avanzada









Lesiones producidas por el fuego









Fuegos artificiales









Violencia de pareja









Victimas masivas









Lesiones relacionadas con vehículos automotores









Intoxicación y envenenamiento









Prevención de lesiones y violencia









Violencia sexual









Suicidio









Violencia









Otro, por favor especifique: P





SPCWS06074 P Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Injury
SPCWS06075 F ¿Qué tema buscaba en específico? Calidad del aire
Radio button, one-up vertical Single N
Enviro



Asbesto









Asma









Biomonitorización









Envenamiento con monóxido de carbono









Prevención del envenenamiento infantil por plomo









Cambio climático









Salud en los cruceros









Condiciones climáticas extremas









Moho









Desastres naturales









Protección contra el sol









Estudios sobre la radiación









Control de roedores









Tabaquismo









Agua









Otro, por favor especifique: Q





SPCWS06076 Q Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Enviro
SPCWS06077 G ¿Qué tema buscaba en específico? Asbesto
Radio button, one-up vertical Single N Skip Logic Group Workplace



Síndrome del túnel carpiano









Seguridad de las sustancias químicas









Construcción









Seguridad con la electricidad









Personal de respuesta a emergencias









Ergonomía









Protección de los ojos









Pérdida de la audición









Estrés por calor









Seguridad en el laboratorio









Plomo









Seguridad con las maquinarias









Minería









Seguridad en vehículos automotores









Ruido









Entornos de oficina









Ropas protectoras









Respiradores









Tensión o estrés









Violencia









Seguridad y prevención en el lugar de trabajo









Otro, por favor especifique: R





SPCWS06078 R Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Workplace
SPCWS06079 H ¿Qué tema buscaba en específico? Adolescentes
Radio button, one-up vertical Single N
Life



Niños









Familias









Bebés y niños pequeños









Hombres









Adultos mayores o y ancianos









Padres









Embarazo









Mujeres









Adultos jóvenes









Otro, por favor especifique: H





SPCWS06080 S Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Life
SPCWS06081 I ¿Qué tema buscaba en específico? Programa de capacitación de epidemiólogos de campo
Radio button, one-up vertical Single N
Global



Detección global de enfermedades









Iniciativas de salud global









VIH/sida en el mundo









Vacunación global









Haití









Programa Internacional de Emergencia y Salud de los Refugiados









Parásitos









Otro, por favor especifique: T





SPCWS06082 T Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Global
SPCWS06083 J ¿Qué tema buscaba en específico? Mejores prácticas
Radio button, one-up vertical Single N Skip Logic Group State Tribal



Acuerdos de cooperación









Financiamiento y subvenciones









Políticas









Estrategias y planeación









Capacitación









Otro, por favor especifique: U





SPCWS06084 U Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth State Tribal
SPCWS06085
¿Cuál de los siguientes describe mejor el tipo de información que buscaba? Información general del tema de salud seleccionado
Radio button, one-up vertical Single
OPS Group Type of Info



Información general sobre síntomas, causas, factores de riesgo, pruebas o tratamientos









Datos y estadísticas









Investigaciones científicas, artículos, publicaciones y revistas









Directrices y recomendaciones para personal de atención médica









Capacitación profesional para personal de atención médica, investigadores, profesionales de salud pública, etc.









Materiales educativos









Campañas e iniciativas









Subvenciones y oportunidades de financiamiento









Herramientas, programas informáticos, sistemas y otros recursos









Materiales impresos (hojas informativas, folletos, afiches, etc.)









Materiales de multimedia (podcasts, videos, widgets, etc.)









Empleos y desarrollo profesional









Otro, por favor especifique: A





SPCWS06086 A Indique el otro tipo de información que buscaba:

Text area, no char limit

OPS Group Other Info
SPCWS06087
¿Pudo encontrar lo que buscaba?
Radio button, one-up vertical

Skip Logic Group Find Info



Parcialmente A








No, todavía sigo buscando. A





SPCWS06088 A ¿Qué información estaba buscando?

Text area, no char limit

Skip Logic Group Unable to Find
SPCWS06089
¿Quién usará la información que está buscando hoy? Es para mi uso personal. A Radio button, one-up vertical Single Y Skip Logic Group Info Usage



La estoy buscando para un amigo o familiar.









La estoy buscando para un paciente o cliente.









La estoy buscando para una agencia de salud pública.









Otro usuario, por favor especifique: B





SPCWS06090 B ¿Quién usará la información?

Text area, no char limit

Skip Logic Group Info Usage Other
SPCWS06091 A Con base en la información que encontró, ¿qué probabilidad tiene de hacer cambios en su estilo de vida para mejorar su salud? Muy poco probable C Radio button, one-up vertical Single N Skip Logic Group Change



Probablemente no C








Probablemente sí E








Muy probable E





SPCWS06092 C ¿Por qué es muy poco probable que haga algún cambio para mejorar su salud? Necesito más información (necesito averiguar más).
Radio button, one-up vertical Single N Skip Logic Group Unlikely Change



No estoy listo para hacer el cambio todavía.









Ya estoy siguiendo las recomendaciones / tengo un estilo de vida saludable.









Otro, por favor especifique: D





SPCWS06093 D ¿Por qué razón es probable que no haga ningún cambio?:

Text area, no char limit

Skip Logic Group Open Unlikely Change
SPCWS06094 E ¿Qué cambio planea hacer?

Text area, no char limit

Skip Logic Group Open Change
SPCWS06095
En el último año, ¿cuál de las siguientes actividades ha realizado? [Seleccione todas las que aplican]: Escuchó un podcast o una emisión en CDC.gov
Checkbox, one-up vertical Multi Y
SM CDC Activities



Vio un video en CDC.gov o la página de los CDC en YouTube









Visitó o "le gustó" la página de los CDC en Facebook









Siguió uno de los perfiles sociales de los CDC en Twitter









Se suscribió para recibir actualizaciones de CDC.gov por correo electrónico









Envió a alguien una tarjeta electrónica de los CDC









Usó el sitio web móvil de los CDC (m.cdc.gov) o una aplicación móvil de los CDC ("app")









Se suscribió a un programa de mensajes de texto de los CDC









Leyó uno de los blogs en CDC.gov









Usó uno de los widgets de CDC









Usó la Biblioteca de Imágenes de Salud Pública (PHIL) de los CDC









Descargó uno de los botones o letreros de los CDC









Participó en un concurso o en una competencia patrocinada por los CDC









Nada de lo anterior






SPCWS06096
En los últimos tres meses, ¿cuál de las siguientes actividades generales ha realizado en Internet? [Seleccione todas las que aplican]: Participó en sitios de interacción social en línea (Facebook, MySpace, etc.)
Checkbox, one-up vertical Multi Y
SM Activities



Usó sitios de "microblogging"(Twitter, Tumblr, Jaiku, etc.)









Exploró galerías de fotos en línea









Vio videos en un sitio web









Cargó videos en un sitio web (YouTube)









Escuchó podcasts o emisiones de audio en un sitio web









Se suscribió para recibir actualizaciones de un sitio web por correo electrónico









Se suscribió a canales RSS









Usó páginas de Internet personalizadas (My Yahoo!, iGoogle, etc.)









Añadió un widget o un gadget a su página web personalizada









Leyó blogs o wikis









Escribió un blog o colaboró en wikis









Publicó comentarios, calificaciones o reseñas en un sitio web









Envió una tarjeta electrónica a alguien:









Marcó como favoritos o etiquetó sitios de web (usando sitios sociales para clasificar como Digg)









Participó en mundos virtuales (Second Life, Whyville, etc.)









Nada de lo anterior






SPCWS06097
En los últimos tres meses, ¿cuál de las siguientes actividades generales ha realizado con su teléfono celular o aparato móvil? [Seleccione todas las que aplican]: Envió o recibió mensajes de texto
Checkbox, one-up vertical Multi Y
SM Mobile Activities



Exploró sitios web









Envió o recibió correos electrónicos









Descargó una aplicación ("app")









Vio videos









Grabó videos









Tomó fotos









Jugó un juego en línea









Escuchó música









Nada de lo anterior






SPCWS06098
¿Con qué frecuencia utiliza usted el sitio web CDC en Español ? Diariamente
Radio button, one-up vertical Single Y
Frequency



Semanalmente









Mensualmente









Un par de veces al año









Alrededor de una vez al año









Esta es mi primera vez






SPCWS06099
¿Cuál describe mejor la razón principal para visitar hoy el sitio web CDC.gov? Persona interesada en temas de salud
Radio button, one-up vertical Single Y Skip Logic Group Role



Viajero









Profesional de atención médica (doctor, enfermera, asistente médico, personal de enfermería especializado, farmaceuta u otro prestador de atención médica) B, C








Empleado de una agencia de salud pública o profesional de salud pública D, E








Científico o investigador









Educador o maestro









Estudiante









Asesor de temas de seguridad









Gerente de empresa









Periodista o miembro de los medios de comunicación









Personal de respuesta a emergencias









Personal de seguridad pública









Funcionario oficial, legislador o miembro de su personal









Becario/beneficiario de subvención









Empleado, contratista o personal de los CDC









Otro, por favor especifique: A





SPCWS06100 A Indique la otra razón por la cual está en el sitio web:

Text area, no char limit
N Skip Logic Group Provider role
SPCWS06101 B ¿Cuál de las siguientes opciones le describe mejor? Médico que da consultas por lo menos 2 días a la semana
Radio button, one-up vertical Single N





Médico, principalmente realizando investigaciones









Personal de enfermería









Asistente médico









Farmaceuta o asistente de farmaceuta









Otro tipo de profesional de atención médica, por favor especifique: F





SPCWS06102 G Indique su función:

Text area, no char limit
N Skip Logic Group Other Provider
SPCWS06103 C ¿Cuál de las siguientes opciones describe mejor su sitio de trabajo? Hospital
Radio button, one-up vertical Single

Provider Location



Consultorio médico grande









Consultorio médico pequeño









Organización sin ánimo de lucro









Institución que realiza investigaciones









Otro, por favor especifique: G





SPCWS06104 G Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Prov Location
SPCWS06105 D ¿Cuál de las siguientes opciones le describe mejor? Promotor de salud pública
Radio button, one-up vertical Single






Educador de temas de salud









Comunicador de temas de salud









Administrador









Científico investigador









Personal administrativo









Otro, por favor especifique: H





SPCWS06106 H Indique su función:

Text area, no char limit
N Skip Logic Group Other Public
SPCWS06107 E ¿Cuál de los siguientes describe el lugar donde trabaja? Sector público o comercial
Radio button, one-up vertical Single N





Organización sin ánimo de lucro









Agencia de salud pública federal









Agencia de salud pública estatal









Agencia de salud pública local









Agencia de salud pública territorial









Agencia de salud pública tribal









Otro, por favor especifique: I





SPCWS06108 I Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Pub Location
SPCWS06109
¿Cuál de las siguientes fuentes le motivó a visitar hoy este sitio web? (Designe los 3 principales, asignando el número 1 al más importante)
Primer lugar: 1 (requerido)
Mensaje directo de los CDC en Facebook, MySpace o Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Mensaje o recomendación de un amigo en Facebook, MySpace o Twitter









Video que vi en la página de los CDC en YouTube









Un blog o foro de discusión



Adjust Template/Style Sheet




Anuncio en Facebook, MySpace o Twitter



Randomize




Mensajes de texto o alertas en el teléfono celular









Mensaje instantáneo IM de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06110
Segundo lugar: 2 (opcional) Mensaje directo de los CDC en Facebook, MySpace o Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Mensaje o recomendación de un amigo en Facebook, MySpace o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Un blog o foro de discusión



Randomize




Anuncio en Facebook, MySpace o Twitter









Mensajes de texto o alertas en el teléfono celular









Mensaje instantáneo IM de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06111
Tercer lugar: 2 (opcional) Mensaje directo de los CDC en Facebook, MySpace o Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Mensaje o recomendación de un amigo en Facebook, MySpace o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Un blog o foro de discusión



Randomize




Anuncio en Facebook, MySpace o Twitter









Mensajes de texto o alertas en el teléfono celular









Mensaje instantáneo IM de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06112
Si escuchó sobre este sitio web en una de las redes sociales, especifique el sitio (p. ej., Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
SPCWS06113
¿Qué edad tiene? 19 años o menos
Radio button, one-up vertical Single N
Age



20-34 años de edad









35-49 años de edad









50-64 años de edad









65 años o más









Prefiero no contestar






SPCWS06114
¿Cómo se describiría usted? Blanco
Checkbox, one-up vertical Multi N
Ethnicity



Hispano o latino









Asiático









Negro o afroamericano









Indoamericano o nativo de Alaska









Nativo de Hawái o de otras islas del Pacífico









Prefiero no contestar






SPCWS06115
¿Cuál es el nivel más alto de estudios que ha completado? Escuela secundaria superior (high school) o menos
Radio button, one-up vertical Single N
Education



Algunos estudios universitarios









Graduado universitario









Posgrado









Prefiero no contestar






SPCWS06116
¿Cuál es su sexo? Femenino
Radio button, one-up vertical Single N
Gender



Masculino









Prefiero no contestar

















SPCWS06117
¿En qué país reside? Estados Unidos




Country



Afganistán









Albania









Alemania









Andorra









Angola









Anguilla









Antártida









Antigua y Barbuda









Antillas Holandesas









Arabia Saudita









Argelia









Argentina









Armenia









Aruba









Australia









Austria









Azerbaiyán









Bahamas









Bahrein









Bangladesh









Barbados









Bélgica









Belice









Benín









Bielorrusia









Bolivia









Bosnia-Herzegovina









Botswana









Brasil









Brunei Darussalam









Bulgaria









Burkina Faso









Burundi









Bután









Cabo Verde









Camboya









Camerún









Canadá









Chad









Chile









China









Chipre









Colombia









Comoras









Congo









Corea del Norte









Corea del Sur









Costa de Marfil









Costa Rica









Croacia









Cuba









Dinamarca









Djibouti









Dominica









Ecuador









Egipto









El Salvador









Emiratos Árabes Unidos









Eritrea









Eslovaquia









Eslovenia









España









Estonia









Etiopía









Federación Rusa









Fiji









Filipinas









Finlandia









Francia









Gabón









Gambia









Georgia









Ghana









Gibraltar









Grecia









Grenada









Groenlandia









Guadeloupe









Guam









Guatemala









Guayana francesa









Guinea









Guinea Ecuatorial









Guinea-Bissau









Guyana









Haití









Holanda









Honduras









Hong Kong









Hungría









India









Indonesia









Irán









Iraq









Irlanda









Isla Bouvet









Isla Navidad









Isla Norfolk









Islandia









Islas Bermudas









Islas Caimán









Islas Cocos









Islas Cook









Islas Faroe









Islas Heard/McDonald









Islas Malvinas o Falkland









Islas Marianas del Norte









Islas Marshall









Islas Solomón









Islas Turcas y Caicos









Islas Ultramarinas de Estados Unidos









Islas Vírgenes, británicas









Islas Vírgenes, de EE. UU.









Israel









Italia









Jamaica









Japón









Jordania









Kazajstán









Kenya









Kirguistán









Kiribati









Kuwait









Laos









Latvia









Lesotho









Líbano









Liberia









Libia









Liechtenstein









Lituania









Luxemburgo









Macao









Macedonia









Madagascar









Malasia









Malawi









Maldivas









Mali









Malta









Marruecos









Martinica









Mauricio









Mauritania









Mayotte









México









Micronesia









Moldova









Mónaco









Mongolia









Montserrat









Mozambique









Myanmar









Namibia









Nauru









Nepal









Nicaragua









Níger









Nigeria









Niue









Noruega









Nueva Caledonia









Nueva Zelandia









Omán









Pakistán









Palau









Panamá









Papua Nueva Guinea









Paraguay









Perú









Pitcairn









Polinesia Francesa









Polonia









Portugal









Puerto Rico









Qatar









Reino Unido









República Centroafricana









República Checa









República Democrática del Congo









República Dominicana









Réunion









Ruanda









Rumania









S. Islas Georgia del sur y Sándwich del Sur









Sahara Occidental









Saint Kitts/Nevis









Saint Pierre/Miquelon









Samoa









Samoa Americana









San Marino









San Vicente y las Granadinas









Santa Elena









Santa Lucía









Santa Sede/Ciudad del Vaticano









Santo Tomé y Príncipe









Senegal









Seychelles









Sierra Leona









Singapur









Siria









Somalia









Sri Lanka









Sudáfrica









Sudán









Suecia









Suiza









Suriname









Islas Svalbard y Jan Mayen









Swazilandia









Tailandia









Taiwán









Tanzania









Tayikistán









Territorio británico del Océano Índico









Territorios Franceses del Sur









Territorios palestinos









Timor Oriental









Togo









Tokelau









Tonga









Trinidad y Tobago









Túnez









Turkmenistán









Turquía









Tuvalu









Ucrania









Uganda









Uruguay









Uzbekistán









Vanuatu









Venezuela









Vietnam









Wallis y Futuna









Yemen









Yugoslavia









Zambia









Zimbabwe






SPCWS06118
Si pudiera sugerir un cambio para mejorar el sitio web de los CDC, ¿cuál sería su recomendación?

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